Organization
CHICAGO EYE INSTITUTE, PLLC
Active
Other names
Chicago Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE T VEREST (INSURANCE SUPERVISOR)
(773) 282-2000
Entity
Organization
Contact information
Practice address
5086 N ELSTON AVE, CHICAGO, IL 60630-2427
(773) 282-2000
(773) 282-9428
Mailing address
5086 N ELSTON AVE, CHICAGO, IL 60630-2427
(773) 282-2000
(773) 282-9428
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695254
PTAN
IL
Enumeration date
02/06/2007
Last updated
04/22/2021
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